Sertraline (Zoloft) or moclobemide (Aurorix) - comparison of their effectiveness in social anxiety

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Licho
Regular Member


Date Joined Jun 2007
Total Posts : 98
   Posted 10/15/2007 8:53 AM (GMT -7)   
Hello,

I've been to the doctor, but he didn't want to give me paroxetine (Paxil equivalent) for my social anxiety, as I'd thought before. However, he proposes me either sertraline (Zoloft) or moclobemide (Aurorix) instead. He's going to decide about it soon.

And that's my question: which of them is better for the social anxiety - which drug gives the enormous self-confidence and the psychical "loose"? Which changes you most (for the better, obviously)?

I've read, that only sertraline doesn't impact on the prolactin (a hormone) levels in blood - and if there's too much of it in your blood, some unpleasant, especially in men.

So, if you could say - which's better? I mean especially:

1. Self-confidence - is it comparable (or bigger) to the great paroxetine one?

2. Side effects,

3. The weird dreams (paroxetine is known for causing such abnormal dreams, but I don't know how is it with Zoloft or Aurorix),

4. Its impact on the one's libido (paroxetine is known for decreasing it, moclobemide doesn't change it, but what with sertraline?

Any other opinions will be appreciated.

Cheers

Edit: What's on with the poll adding? I cannot add any! The blank fields still appear... :// eyes mad
My drugs (I've UC for a few years, if anybody was curious; autodiagnosed SA and depressive problems): mesalazine, azathioprine, infliximab, iron meds, vitamins (sometimes) & probiotics; the methylprednisolone therapy of several months if needed (then, protectively, potassium meds and omeprazole as well).
I worry about my liver and kidneys for the reasons above, I hope that unnecessarily.
I worry if anxiety problems (SA) could impact on the UC as well.
I have nothing more to say at the moment (I've already said very much for me...).

Post Edited (Licho) : 10/24/2007 6:22:15 AM (GMT-6)


Howlyncat
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Date Joined Jan 2005
Total Posts : 24909
   Posted 10/15/2007 10:41 AM (GMT -7)   
I believe each of us react differently to those meds .......yes there will be simularities but still .......

I do not take any type of SSRI SSNI at all now so I really cannot give you to much feedback on this

I am sure others will post there input ....

LYN
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Licho
Regular Member


Date Joined Jun 2007
Total Posts : 98
   Posted 10/19/2007 8:36 AM (GMT -7)   
Thanks, Howlyncat. I'll be patient.
My drugs (I've UC for a few years, if anybody was curious; autodiagnosed SA and depressive problems): mesalazine, azathioprine, infliximab, iron meds, vitamins (sometimes) & probiotics; the methylprednisolone therapy of several months if needed (then, protectively, potassium meds and omeprazole as well).
I worry about my liver and kidneys for the reasons above, I hope that unnecessarily.
I worry if anxiety problems (SA) could impact on the UC as well.
I have nothing more to say at the moment (I've already said very much for me...).


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 10/19/2007 11:56 AM (GMT -7)   
I just read in your sig about the fact you worry about your liver and kidneys.....do you not get a monthly bloodwork up done ??
I do as I am on Methotrexate and many many other meds
Just wondering and hey thanks for being patient

Lyn

** added note I firmly believe a/p stress and depression can and will add problems to your existing DD......... UC ,I know it causes me to flare and causes many problems with my crohns

 

LYN


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Post Edited (Howlyncat) : 10/19/2007 12:57:49 PM (GMT-6)


stkitt
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Date Joined Apr 2007
Total Posts : 32602
   Posted 10/19/2007 10:46 PM (GMT -7)   

HI there,

I will give you info on what I have heard on the meds but remember I am not a professional...............

The SSRIs are the workhorse drugs for social anxiety and it depends on each person which medication will work best for the individual patient.

Partial responses are the rule when using these meds for social anxiety.  For optimal responses, patients should also enroll in cognitive-behavioral therapy featuring cognitive restructuring and exposure therapy.  Informal exposure advice is also helpful: Patients with social phobia can sometimes improve when they confront distressing situations.

The most common side effects of the SSRIs include insomnia, agitation, sexual dysfunction, and GI distress.

So with this info please discuss all your options with your physician.

Before you know it you will be a presidential candidate tongue .

Bless you and take care.  Keep posting.

Kitt


Respectfully
Kitt
Moderator Anxiety ~ Panic Disorders
*~* Not a mental health professional at all *~*
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_____________________________________________________
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eveie
Regular Member


Date Joined May 2006
Total Posts : 89
   Posted 10/21/2007 10:10 AM (GMT -7)   

Hi,

I take Zoloft and for me it has worked very well. I can now go out and feel comfortable. The meds do not get rid of the panic  but they do help and we as PD people still have to do the work. All people react differently tomeds so just try and see. Give them time as it doesn't happen overnight.

Good luck.

eve


The true joy of life is in the journey


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 10/21/2007 10:13 AM (GMT -7)   

Well said evie, we would all like to be better within the first week, but if we just take the med and not worry about the timeline all of a sudden it may dawn on you, hey I am feeling better.

Again, I wish you the best in getting on the drug that works for you with the first try. :-)

Take care.


Respectfully
Kitt
Moderator Anxiety ~ Panic Disorders
*~* Not a mental health professional at all *~*
Dx: Anxiety/Panic, Depression 
******www.healingwell.com/donate******
_____________________________________________________
"If you doubt you can accomplish something, then you can’t accomplish it. You have to have confidence in your ability, and then be tough enough to follow through.” 
~Rosalyn Carter

 


Licho
Regular Member


Date Joined Jun 2007
Total Posts : 98
   Posted 10/24/2007 5:21 AM (GMT -7)   
Thanks to you all for your answers. I'm going to ask my doctor soon. Sorry that I haven't been responsing in this thres, but I was in hospital (a casual infliximab infusion due to my UC, you know).


Howlyncat said...
I just read in your sig about the fact you worry about your liver and kidneys.....do you not get a monthly bloodwork up done ??
I do as I am on Methotrexate and many many other meds
Just wondering and hey thanks for being patient

Lyn
** added note I firmly believe a/p stress and depression can and will add problems to your existing DD......... UC ,I know it causes me to flare and causes many problems with my crohns


Hey, I actually get the bloodwork done (but rather every 2 months), but - you know - I still worry about some possible problems... sad

Hm, methotrexate.. It's a pretty strong drug... I'm "only" on infliximab and 50 mg of azathioprine (Imuran)... eyes

Thanks for your interest :-)
My drugs (I've UC for a few years, if anybody was curious; autodiagnosed SA and depressive problems): mesalazine, azathioprine, infliximab, iron meds, vitamins (sometimes) & probiotics; the methylprednisolone therapy of several months if needed (then, protectively, potassium meds and omeprazole as well).
I worry about my liver and kidneys for the reasons above, I hope that unnecessarily.
I worry if anxiety problems (SA) could impact on the UC as well.
I have nothing more to say at the moment (I've already said very much for me...).


thenay
Regular Member


Date Joined May 2006
Total Posts : 167
   Posted 11/8/2007 3:15 PM (GMT -7)   
Paxil is evil and everyone I know who tired it. Big time sexual side effects. I tried Effecor XR and it worked for me. I've been off it for over 3 yrs now tho, my anxiety is gone (for now atleast.. lol).

I don't know much about Zoloft or Aurorix tho, sorry.


Male DX with CD May 2006 @ age 22, Colonoscopy and SBT
Taking Prednisone 30mg, Imuran 75mg, Atenolol 25mg for fast heartbeat and Restoril 30mg for the sleepless nights (thanks Pred!)


Howlyncat
Elite Member


Date Joined Jan 2005
Total Posts : 24909
   Posted 11/9/2007 11:50 AM (GMT -7)   
thenay

People HAVE had success with Paxil so again it is actually up to each person and how they react to a med .......


**Licho**

My daughter Cait was put on zoloft ...at first 50 mgs per day an now she is weaning off with doc's input at 25 mgs every other day........I have talked o her as I have noticed a difference when she is not taking the full 50 mgs now and had forgotten to take a couple of doses for more than 2 dys ........NOT GOOD.....
Cait was put on this for social anxiety as well as other isues she was dealing with
The diference with her on the med and not is like night and day from my viewpoint BUT she feels that she needs and wants to come of of them ........I will agree and have to see what does come out of this
We discussed this just last night and she did say that she would go back on the zoloft if there is too much happening to her which will lead back to same reasons she was put on it

Cait has been thru hades and back with many sudden deaths and all my illnesses for the last few yrs .....keeping an A plus average in public school and now getting into the 96 % range in High school other than math and this is really bothering her
As well she does community work at local hospital and at the YMCA here in a new town ( which also had an effect on her ) as we lived all her life in the same town and she was apprehensive about the move and school

I have to say that moving her myself an my dad was the or one of the best things I have done in yrs ......causing us more happiness here so like I said I will let her make that decision to go of the zoloft BUT she will go back on it of her own accord if too much over comes iot and she has a meltdown again

Jeesh ..lol to make a long story short lol I believe this med has helped her out and many others here with lil side effects or her anyways ........YEP I am a yapper lol

Take care and let us know how you make out plz

LYN


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Post Edited (Howlyncat) : 11/9/2007 12:02:00 PM (GMT-7)

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